Organization
HAKSHA HEALTHCARE S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KSHAMA KESHAVA BHAT MD (PRESIDENT)
(855) 942-5742
Entity
Organization
Contact information
Practice address
4931 S 27TH ST STE 300, GREENFIELD, WI 53221-2653
(855) 942-5742
(877) 942-5742
Mailing address
4931 S 27TH ST STE 300, GREENFIELD, WI 53221-2653
(855) 942-5742
(414) 810-4148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255526190
—
WI
Enumeration date
01/22/2020
Last updated
03/23/2021
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